Potts D E, Sahn S A
JAMA. 1976 Jun 28;235(26):2835-7.
The cardiopulmonary manifestations of acute pulmonary embolism are well known. However, abdominal manifestations of thromboembolic disease are less well appreciated. We recently encountered three patients with pulmonary emboli who also had complications of abdominal signs and symptoms. Two patients initially had abdominal complaints that obscured the diagnosis. In the other patient, symptoms and signs developed that were indistinguishable from an acute surgical condition of the abdomen after the diagnosis of massive pulmonary embolism was established. Abdominal manifestations alone may be the presenting features of pulmonary embolism or may complicate the clinical course.
急性肺栓塞的心肺表现众所周知。然而，血栓栓塞性疾病的腹部表现却较少受到重视。我们最近遇到了三名患有肺栓塞的患者，他们同时伴有腹部体征和症状的并发症。两名患者最初有腹部不适症状，掩盖了诊断。在另一名患者中，在确诊为大面积肺栓塞后，出现了与腹部急性外科疾病难以区分的症状和体征。单独的腹部表现可能是肺栓塞的首发特征，也可能使临床病程复杂化。
